Individual
ERIN ELIZABETH MALLEKOOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1420 PLAZA DR, PETOSKEY, MI 49770-9420
(231) 347-7890
Mailing address
1420 PLAZA DR, PETOSKEY, MI 49770-9420
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009985
MI
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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